Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his or his partners sexual needs. Most men experience this at some point in their lives, usually by the age of 40.
→ Drugs: Anti-depressants (SSRIs) and nicotine are most common
→ Neurogenic disorders: Spinal cord and brain injuries, nerve disorders such as Parkinson’s disease, Alzheimer disease, multiple sclerosis, and stroke
→ Psychological causes: Performance anxiety, stress, mental disorders, clinical depression, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders or traits psychological problems, negative feelings.
→ Surgery: Radiation therapy, surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Prostate and bladder cancer surgery often require removing tissue and nerves surrounding a tumor, which increases the risk for impotence
→ Ageing: It is four times higher in men in their 60s than in men in their 40s.
→ Kidney failure: Diseases such as diabetes and multiple sclerosis (MS). While these two causes have not been proven they’re likely suspects as they cause issues with both the blood flow and nervous systems.
→ Lifestyle: Smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing.
Painless Treatment
→ Vacuum devices: Vacuum erection devices, also known as vacuum constriction devices have been utilized for improving erectile rigidity for over a century. A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.
→ Penile Prosthesis: Penile prostheses are devices that are implanted completely within the body. They produce an erection-like state that enables the man who has one of these implants to have normal sexual intercourse.
→ Alprostadil intraurethral (Muse) therapy involves placing a tiny alprostadil suppository inside your penis in the penile urethra
→ Prostate-specific antigen (PSA) test: This blood test checks for prostate infections/ cancer of the prostate.
→ Testosterone replacement therapy can be delivered via injection, patch, gel, gum and cheek (buccal cavity), intranasal, subcutaneous pellet, or oral PDE5 inhibitors as standard line of treatment in most cases
Dr. Venkatesh Kumar is a highly motivated and compassionate board certified Urologist, Andrologist & Uro-Oncologist in Noida. He has over 10 years of experience in Urology and has been trained in Indraprastha Apollo Hospital, New Delhi, India’s first JCI accredited 750 bedded superspeciality hospital.